DELMAR SURGICAL CENTER LLC (NPI# 1306924170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306924170 |
| Entity Type | Organization |
| Organization Name | DELMAR SURGICAL CENTER LLC |
| Practice Address |
103 Chesapeake Blvd Ste C Elkton MD 21921-6313 |
| Practice Telephone | 4103926133 |
| Practice Fax Number | 4103924958 |
| Mailing Telephone | 4103926133 |
| Mailing Fax Number | 4103924958 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | MRS. TAMMY MARIE HICKMAN (BILLING SUPERVISOR) |
| Authorized Official Telephone | 4103926133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
D0036586 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE | 074Z | 01 |
| Street Address |
103 CHESAPEAKE BLVD STE C |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831276385 | Douglas J Lavenburg Md Pa | Optometrist | 103 Chesapeake Blvd Ste C, Elkton, MD 21921-6313 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649774019 | Chesapeake Bay Surgery Center, LLC | Clinic/Center | 101 Chesapeake Blvd Ste C, Elkton, MD 21921-6607 | 2018-03-21 |
| 1215116611 | Upper Bay Surgery Center, LLC | Clinic/Center | 360 E Pulaski Hwy Ste 2a, Elkton, MD 21921-6595 | 2007-11-01 |
| 1477068278 | Precision Surgical Center LLC | Clinic/Center | 101 Chesapeake Blvd, Elkton, MD 21921-6607 | 2017-12-04 |
| 1366869752 | Chesapeake Surgical Services, LLC | Clinic/Center | 300 E Pulaski Hwy, 108, Elkton, MD 21921-6737 | 2014-03-24 |
| 1366703837 | Tri-state Anestesiology, LLC | Clinic/Center | 300 E Pulaski Hwy, Elkton, MD 21922-6435 | 2012-05-31 |
| 1801028998 | Cecil Surgery Center, LLC | Clinic/Center | 300 E Pulaski Hwy, Suite 108, Elkton, MD 21921-6435 | 2009-08-22 |
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| 1518570084 | Eastside Anesthesia LLC | Clinic/Center | 19 Fontana Ln Ste 104, Rosedale, MD 21237-3027 | 2020-08-25 |
| 1215548524 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 | 2020-08-11 |
| 1861001372 | Bay Surgery Centers LLC | Clinic/Center | 810 Bestgate Rd Ste 120, Annapolis, MD 21401-3033 | 2020-07-30 |
| 1417566217 | Clearway Surgery Center of Easton, LLC | Clinic/Center | 598 Cynwood Dr Ste 103, Easton, MD 21601-3875 | 2020-07-28 |
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1528680865 | Meridian Surgery Center LLC | Clinic/Center | 19638 Leitersburg Pike Ste 205, Hagerstown, MD 21742-1515 | 2020-05-09 |
| 1346862869 | Nspc Surgery Center of Maryland, LLC | Clinic/Center | 6710 Oxon Hill Rd Ste 550b, Oxon Hill, MD 20745-1117 | 2020-05-07 |
| 1225665292 | Annapolis Endoscopy Center LLC | Clinic/Center | 1419 Forest Dr Ste 105, Annapolis, MD 21403-1474 | 2020-03-26 |
| 1992345748 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 | 2020-01-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.